Cardiovascular Interventions 2014

Live satellite Case transmissions from LA JOLLA, CALIFORNIA & MILAN, ITALY
2014
2 5 t h
A n n u a l
Cardiovascular
Interventions
October 21-24, 2014
FEATURING
PRE-CONFERENCE
SEMINAR &
EXPANDED
SATELLITE
SYMPOSIA
Hilton La Jolla Torrey Pines
La Jolla, California
Scripps Conference Services & CME
www.scripps.org/conferenceservices
Introduction
Course Overview
Cardiologists are trained during their fellowship years in the latest techniques, technologies,
standards of practice and guidelines for patient care. However, the practice of medicine changes rapidly and the discipline of interventional cardiology changes, dramatically, each year.
Changes in interventional cardiology directly impact patient care and require specific changes
to physician practice. To stay current, physicians rely on journal articles, interaction with colleagues and isolated lectures throughout the year. The primary purpose of Cardiovascular
Interventions is to provide the practicing physician with a concentrated exposure to new developments in interventional cardiology that will positively influence patient outcomes.
Through a program of lectures from world experts, live demonstration procedures and participant-faculty interactions, attendees will learn the latest advances in interventional cardiology.
After completing this program, participants will return to their practice environment armed
with the latest evidence base and practical information to improve patient outcomes.
Conference Highlights
• Plenary talks from nationally recognized experts
• Live satellite case transmissions from La Jolla, California & Milan, Italy
• Ample question and answer time with course faculty
• Receptions and networking opportunities among colleagues
• Expanded satellite symposia and pre-conference seminar
• Mobile conference app with access to course materials and recordings
from the convenience of your mobile device or computer
Educational Objectives
After attending this activity, participants should be able to:
• Apply new technical approaches to specific lesion subsets such as bifurcation
lesions, left main lesions, chronic total occlusions and saphenous vein graft disease.
• Integrate the latest guidelines and practice improvements into the management
of myocardial function.
• Discuss new techniques under development for percutaneous cardiac valve repair and replacement.
• Reduce common catheterization laboratory patient complications using new
techniques and technologies.
• Critique the latest evidence and guidelines supporting new cardiac imaging
modalities such as IVUS and FFR guided stent deployment.
• Prescribe the appropriate antithrombotic therapies based on the latest data
and guidelines.
Target Audience
This course is designed for interventional cardiologists, cardiologists, cardiac surgeons,
vascular surgeons, and internists with an interest in interventional cardiology. No
experience in interventional cardiology is required, but a basic understanding of the
field is recommended.
Accreditation
Physicians (MD, DO)
Scripps Health is accredited by the Accreditation
Council for Continuing Medical Education (ACCME) to
provide continuing medical education for physicians. Scripps Health designates this live activity for a maximum of 26 AMA PRA Category 1 Credit(s)™. Physicians
should only claim credit commensurate with the extent
of their participation in the activity.
Credit Breakdown
Pre-Conference Seminar (Tues): 6
Main Conference (Wed-Fri): 20
Wednesday: 4; Thursday: 8; Friday: 8
Total Credits Available: 26
Commercial Support
This course is supported, in part, by
educational grants from industry, in
accordance with ACCME accreditation
Standards for Commercial Support. At
the time of printing, a complete listing
of commercial supporters was not available. Appropriate acknowledgement
will be given to all supporters at the
time of the educational activity.
Cultural and Linguistic Competency
This activity is in compliance with California
Assembly Bill 1195 which requires that all CME
activities comprising a patient care element
include curriculum addressing the topic of
cultural and linguistic competency. The intent
of this bill is to ensure that health care professionals are able to meet the cultural and linguistic concerns of a diverse patient population
through effective and appropriate professional
development. Cultural and linguistic competency was incorporated into the planning of
this activity.
Faculty
Course Director
Paul S. Teirstein, MD, FACC, FSCAI
Chief of Cardiology
Director, Interventional Cardiology
Scripps Clinic/Scripps Green Hospital
La Jolla, California
Course Co-Directors
Matthew J. Price, MD, FACC, FSCAI
Director, Cardiac Catheterization Laboratory
Scripps Clinic/Scripps Green Hospital
Assistant Professor
Scripps Translational Science Institute
La Jolla, California
Richard A. Schatz, MD, FACC
Research Director
Cardiovascular Interventions
Scripps Clinic/Scripps Green Hospital
La Jolla, California
Curtiss T. Stinis, MD, FACC, FSCAI
Director, Peripheral Interventions
Scripps Clinic/Scripps Green Hospital
La Jolla, California
Conference Faculty
Daniel Burkhoff, MD, PhD
Adjunct Associate Professor of Medicine
Columbia University
New York, New York
Antonio Colombo, MD, FACC
Chief of Invasive Cardiology
San Raffaele Scientific Institute and
Columbus Hospital
Milan, Italy
David V. Daniels, MD
Director, Transcatheter Aortic Valve
Replacement (TAVR) Program
Director
Interventional Cardiology Service Line
Palo Alto Medical Foundation
Palo Alto, California
David P. Faxon, MD, FACC
Senior Lecturer, Harvard Medical School
Interim Chief of Cardiology
VA Boston Healthcare System
Vice Chair of Medicine for Clinical Strategic
Planning, Department of Medicine
Brigham and Women’s Hospital
Boston, Massachusetts
William F. Fearon, MD, FACC, FSCAI
Associate Professor of Medicine
Director, Interventional Cardiology
Stanford University Medical Center
Stanford, California
J. Aaron Grantham, MD, FACC, FSCAI
Associate Professor of Medicine
Director, Cardiovascular Disease Fellowship/
Cardiovascular Medical Education
University of Missouri Kansas City
Consulting Cardiologist
Saint Luke’s Mid America Heart Institute
Kansas City, Missouri
Mark A. Grise, MD, FACC, FSCAI
Medical Director
Cardiac Catheterization Laboratory
Sacred Heart Hospital
Pensacola, Florida
Giulio Guagliumi, MD
Division of Cardiology
Cardiovascular Department
Ospedali Riuniti di Bergamo
Bergamo, Italy
James B. Hermiller, MD, FACC, FSCAI
Director, Interventional Cardiology
The Care Group, LLC
Indianapolis, Indiana
J. Thomas Heywood, MD, FACC
Director, Heart Failure Recovery and
Research Program
Division of Cardiovascular Disease
Scripps Clinic/Scripps Green Hospital
La Jolla, California
Morton J. Kern, MD, FACC, FSCAI, FAHA
Faculty Disclosure
In accordance with the ACCME Standards for Commercial
Support, course directors, planning committees, faculty and all
others in control of the educational content of the CME activity
must disclose all relevant financial relationships with any commercial interest that they or their spouse/partner may have had
within the past 12 months. If an individual refuses to disclose
relevant financial relationships, they will be disqualified from
being a part of the planning and implementation of this CME
activity. Employees of a commercial interest with business lines
or products relating to the content of the CME activity will not
participate in the planning or any accredited portion of the conference. Disclosure will be made to all participants at the conference location, prior to the educational activity commencement.
Professor of Medicine and
Associate Chief of Cardiology
University of California, Irvine
Chief of Cardiology
Long Beach Veterans Administration Hospital
Long Beach, California
John R. Laird, MD, FACC, FACP, FSCAI
Professor of Medicine
Medical Director
UC Davis Vascular Center
University of California, Davis Medical Center
Sacramento, California
William L. Lombardi, MD, FACC, FSCAI
Medical Director
Cardiac Catheterization Laboratory
St. Joseph Medical Center
Bellingham, Washington
Steven P. Marso, MD, FACC, FAHA, FSCAI
Professor of Medicine
University of Missouri Kansas City
Medical Director, Cath Lab Quality
Saint Luke's Mid America Heart Institute
Kansas City, Missouri
Jeffrey W. Moses, MD, FACC
Professor of Medicine
Columbia University College of
Physicians and Surgeons
Director, Cardiovascular Interventions
New York-Presbyterian Hospital/Columbia
University Medical Center
New York, New York
Samir B. Pancholy, MD, FACC, FSCAI
Program Director
Fellowship in Cardiovascular Diseases
The Wright Center for
Graduate Medical Education
Associate Professor of Medicine
The Commonwealth Medical College
Scranton, Pennsylvania
Mark Reisman, MD, FACC
Clinical Professor of Medicine
Section Head, Interventional Cardiology
Director, Cardiovascular Emerging Therapies
University of Washington Medical Center
Seattle, Washington
David G. Rizik, MD, FACC, FSCAI
Director of Heart and Vascular Medicine
Scottsdale Healthcare Hospitals
Medical Director and
Interventional Cardiologist
Scottsdale Heart Group
Scottsdale, Arizona
Jennifer A. Tremmel, MD, MS, FACC
Interventional Cardiology
Clinical Director, Women's Heart Health
Assistant Professor of Medicine (Cardiovascular)
Stanford University Medical Center
Stanford, California
Branavan Umakanthan, DO, FACC, FSCAI
Nevada Heart & Vascular Center
Las Vegas, Nevada
George W. Vetrovec, MD, FACC
Professor of Medicine
Director
Adult Cardiac Catheterization Laboratory
VCU Pauley Heart Center
Virginia Commonwealth University
Medical Center
Richmond, Virginia
Conference Agenda
Tuesday, October 21, 2014
Wednesday, October 22, 2014
Pre-Conference Seminar
Wednesday Breakfast Symposium
Optimizing PCI: A Case-based Session
Complete Revascularization in the Cath Lab:
When is Hemodynamic Support Needed?
This seminar is supported, in part, by an educational grant
from Abiomed, Inc. in accordance with ACCME Standards for
Commercial Support.
7:30 a.m. Registration and Hands-on Workshop
8:30 a.m. Welcome & Educational Overview
Paul S. Teirstein, MD
8:45 a.m. The Science of Hemodynamic Support
Daniel Burkhoff, MD, PhD
9:30 a.m. Real World Applications of LV Support:
Making the Best Clinical Decisions in the Cath Lab
Morton J. Kern, MD
9:45 a.m. Defining the High-risk Patient: When Should
You Consider Support?
George W. Vetrovec, MD
10:15 a.m.
10:30 a.m.
11 a.m.
11:15 a.m.
11:30 a.m.
Noon
1 p.m.
1:15 p.m.
1:45 p.m.
2:15 p.m.
2:30 p.m.
3 p.m.
3:30 p.m.
4 p.m.
4:15 p.m.
Break
PCI in a Hurry vs. Optimal Revascularization with Support:
Is There a Difference?
Jeffrey W. Moses, MD
Clinical Evidence for Hemodynamic Support in
High-risk PCI
James B. Hermiller, MD
Choosing the Appropriate Catheter:
The Impella 2.5 CP or 5.0
Mark Reisman, MD
Case Presentation: The High-risk Patient
David G. Rizik, MD
Lunch and Hands-on Workshop
Clinical Evidence for Hemodynamic Support in the
Emergent Patient
James B. Hermiller, MD
Case Presentation: The Emergent Patient
David G. Rizik, MD
Patient Management: Stitch-to-Stitch
Mark A. Grise, MD
Break
Health Economics and Current Trends in Cardiology
Branavan Umakanthan, DO
Future Technologies
David G. Rizik, MD
Panel Discussion
What We Learned Today
Paul S. Teirstein, MD
Reception
Tuesday
Dinner Symposium
Structural Heart Disease
Non-CME Activity Supported By Abbott Vascular and
Edwards Lifesciences
6:30 p.m.
7:15 p.m.
7:30 p.m.
7:45 p.m.
8 p.m.
How to Perform Mitral Valve Repair with
MitraClip®: Step-by-Step
James B. Hermiller, MD
How to Perform TAVR with a Balloon
Expandable Valve: Step-by-Step
Paul S. Teirstein, MD
Using Hemodynamics during TAVR: Anticipating
Problems of Paravalvular Leak, Diastolic Dysfunction,
and Residual Stenosis
Morton J. Kern, MD
Next Generation TAVR Devices
Mark Reisman, MD
Discussion
Moderator: Matthew J. Price, MD
Non-CME Activity Supported By St. Jude Medical, Inc.
8:30 a.m. Stent Planning with OCT
Giulio Guagliumi, MD
9 a.m. FFR: Latest Outcomes Data
William F. Fearon, MD
9:30 a.m. Using OCT/FFR to Understand Your PCI Concerns
Morton J. Kern, MD
10 a.m. Discussion
Moderator: Matthew J. Price, MD
Wednesday Lunch Symposium
The Value of Transradial to Your Patients
and Your Hospital
Non-CME Activity Supported By Terumo Medical Corporation
11 a.m. Economics of Radial Angiography and Intervention
Steven P. Marso, MD
11:30 a.m. Getting In, Getting Out, and Getting Back:
Keys to Radial Artery Patency
Samir B. Pancholy, MD
Noon Developing a Transradial Primary PCI Program
Jennifer A. Tremmel, MD, MS
12:30 p.m. Discussion
Moderator: Matthew J. Price, MD
1 p.m. General Conference Registration Open
1:30 p.m. Live Cases 1 & 2 From Scripps Clinic
Real World FFR: Case Selection and Avoiding Pitfalls
William F. Fearon, MD
Bifurcations 2014: Tap, Crush, Culottes, Kiss –
Step-by-Step Description of All Techniques
Jeffrey W. Moses, MD
Tips and Tricks for Performing Optimal PCI
Curtiss T. Stinis, MD
3:30 p.m. Break and View Exhibits
4 p.m. Live Cases 3 & 4 From Scripps Clinic
Novel FFR and HD IVUS Technologies
Morton J. Kern, MD
Recognizing and Managing Femoral Access
Site Complications
Curtiss T. Stinis, MD
Revascularization First for Ischemia
Jeffrey W. Moses, MD
6 p.m. Adjourn
Wednesday Dinner Symposium
Chronic Total Occlusions and Complex PCI
Non-CME Activity Supported By Boston Scientific Corporation
6:30 p.m.
7 p.m.
7:30 p.m.
8 p.m.
Reception
Why and How to Open Chronic Total Occlusions
J. Aaron Grantham, MD
Complex PCI 2014
David V. Daniels, MD
Discussion
Moderator: Curtiss T. Stinis, MD
Thursday, October 23, 2014
6:30 a.m. Continental Breakfast and View Exhibits
Friday, October 24, 2014
7:30 a.m. Live Cases 5 & 6 from Milan, Italy
(Under the direction of Antonio Colombo, MD)
6:30 a.m. Continental Breakfast and View Exhibits
Show Me the Data: Key Clinical Trials in 2014
David P. Faxon, MD
The Next Wave of Stent Design I:
Bioresorbable Scaffolds
David G. Rizik, MD
The Next Wave of Stent Design II:
Bioresorbable Polymers
Matthew J. Price, MD
9:30 a.m.
10 a.m.
Noon
Break and View Exhibits
Live Cases 15 & 16 From Scripps Clinic
Practical Approach to Chronic Total Occlusions
Part 1: Step-by-Step Techniques –
The Antegrade Approach
David V. Daniels, MD
Practical Approach to Chronic Total Occlusions
Part 2: Step-by-Step Techniques – The
Retrograde Approach
William L. Lombardi, MD
How to Manage Post PCI Antiplatelet Therapy in the
Patient on Oral Anticoagulation
David P. Faxon, MD
9:30 a.m. Break and View Exhibits
10 a.m. Live Cases 7 & 8 From Scripps Clinic
Doing It Right: Best Practices for Radial Angiography
and Intervention
Jennifer A. Tremmel, MD, MS
Recognition and Management of Complications with
Transradial Intervention
Samir B. Pancholy, MD
Intracoronary Brachytherapy for Multiple
Drug-Eluting Stent Restenoses
Nicholas N. Hanna, MD and
Paul S. Teirstein, MD
Noon Lunch with Challenging Cases and Panel Discussion
1:30 p.m. Live Cases 9 & 10 From Scripps Clinic
Advanced Intravascular Imaging to Guide PCI
Giulio Guagliumi, MD
Left Atrial Appendage Closure for Atrial Fibrillation
Matthew J. Price, MD
Transcatheter Aortic Valve Replacement: State of the Art
Paul S. Teirstein, MD
3:30 p.m. Break and View Exhibits
4 p.m. Live Cases 11 & 12 From Scripps Clinic
INNOVATION AT SCRIPPS
Stem Cells for Ischemic Heart Disease
Richard A. Schatz, MD
Interventional Heart Failure
J. Thomas Heywood, MD
Transcatheter Mitral Valve Repair
Matthew J. Price, MD
New Technologies for Left Atrial Appendage Occlusion
Matthew J. Price, MD
Transcatheter Aortic Valve Replacement (TAVR)
Paul S. Teirstein, MD
Ultra Aggressive Anti-Lipid Therapy: PCSK9 for
Atherosclerotic Regression
Paul S. Teirstein, MD
6 p.m. Adjourn
Thursday Dinner Symposium
Peripheral Vascular Interventions
Non-CME Activity Supported By Cook Medical
6:30 p.m. Reception
7 p.m. Strategies for Tackling Complex Peripheral Chronic
Total Occlusions
Curtiss T. Stinis, MD
7:30 p.m. Drug-Eluting Technologies for the Treatment of
Peripheral Arterial Disease
John R. Laird, MD
8 p.m. Panel Discussion: Complex Endovascular Case Reviews
Curtiss T. Stinis, MD and John R. Laird, MD
7:30 a.m. Live Cases 13 & 14 From Scripps Clinic
Lunch with Challenging Cases and Panel Discussion
1:30 p.m. Live Cases 17 & 18 From Scripps Clinic 3:30 p.m.
4 p.m.
PCI in Acute MI Controversies: Aspiration,
Non-Culprit Revascularization, and Optimal Post
Procedure Therapy
J. Aaron Grantham, MD
All Paths Lead to Rome: Navigating the Vascular
Anatomy of the Arm, Arch Vessels, and Aorta for
Radial Angiography
Matthew J. Price, MD
Peripheral Interventions for the Coronary
Interventionalist
Curtiss T. Stinis, MD
Break and View Exhibits
Live Cases 19 & 20 From Scripps Clinic PFO, PDA, VSD, Paravalvular Leak: Should All the
Holes Be Closed?
Matthew J. Price, MD
Creating a Cost Containment Program for
Interventional Cardiologists
Joseph A. Walsh, MD, Richard Fortuna, MD and
Paul S. Teirstein, MD
6 p.m. Final Adjournment
Conference Location & Hotel Accommodations
Saturday, October 13, 2012
6:30 a.m. Continental Breakfast
ranscatheter Aortic Valve Replacement Symposium
7:30 a.m. Live TAVR Case from Scripps Clinic
TAVR Access and Closure, Step By Step
Curtiss T. Stinis, MD
How to Do TAVR, Step By Step
Paul S. Teirstein, MD
Imaging for TAVR
David S. Rubenson, MD
Overview of Sapian Program Data
Matthew J. Price, MD
9:30 a.m. Break
10 a.m. Live TAVR Case from Scripps Clinic
Noon
TAVR Complications
Curtiss T. Stinis, MD
TAVR for Patients with Bioprosthetic
Valve Dysfunction
Paul S. Teirstein, MD
Overview of CoreValve Program
Jeffrey J. Popma, MD
New TAVR on the Horizon
Reginald I. Low, MD
Final Adjournment
Hotel Information
Please make your own hotel reservations.
The Hilton La Jolla Torrey Pines Hotel is located on the internationally famous
Torrey Pines Golf Course. Adjacent to Scripps Clinic, 10 minutes north of
lovely La Jolla, and 20 minutes from the San Diego airport, the Hilton is
close to all the attractions that make San Diego so desirable to visit. With the
Pacific Ocean as a backdrop, all rooms command a spectacular view of either
the ocean and championship golf course, or a meticulously tended, lush
garden. In addition to the tennis courts, swimming pool, saunas and spa, the
Shiley Sports and Health Center of Scripps Clinic is available to hotel guests.
We are fortunate to have obtained special low rates at the hotel
starting at $219 per night (plus tax and parking). Make your reservations early. A block of rooms is being held for us at the $219 rate until
Wednesday, October 1, 2014 or until the room block fills, whichever
comes first. After that date, reservations will be accepted based on availability and the special room rate may not be honored. Be sure to request the
Scripps Clinic Cardiovascular Interventions rate when making reservations.
Hilton La Jolla
Torrey Pines
10950 North Torrey Pines Road
La Jolla, California 92037
Reservations: 800-762-6160
Hotel Direct: 858-558-1500
Conference Materials
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disclosures, industry support, attendee list, and course materials can be found on
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this program.
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Registration Fees & Information
Cardiovascular Interventions 2014
Three Easy Ways to Register
Included: Course tuition, breakfasts, breaks, lunches, pre-conference seminar,
satellite symposia, and electronic course materials
Not Included: Travel costs, lodging, and parking
Online www.scripps.org/
cardiovascularinterventions
Fax
858-652-5565
Conference Registration Fees
Mail Scripps Conference Services & CME
Cardiovascular Interventions
11025 North Torrey Pines Road
Suite 200, Maildrop: SCRC200
La Jolla, California 92037
Thru Aug 4
Aug 5-Oct 15
On-site
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$899
$925
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& Residents
$599
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Technicians & Others
$399
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(session limited to first 150 registrants)
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.............. Yes, I will attend the Wednesday Dinner Symposium
.............. Yes, I will attend the Thursday Dinner Symposium
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Refund
The course tuition is refundable, minus
a $100 processing fee, if your cancellation is received in writing no later
than Wednesday, October 15, 2014.
Attendee substitutions are allowed, but
notification must be made in writing by
October 15, 2014. After this date, under
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Join Us!
2 5 t h
A n n u a l
Cardiovascular
Interventions
October 21-24, 2014
Hilton La Jolla Torrey Pines
La Jolla, California
Photos © Ron Poblete
Live satellite Case transmissions from LA JOLLA, CALIFORNIA & MILAN, ITALY
FEATURING
PRE-CONFERENCE
SEMINAR &
EXPANDED
SATELLITE
SYMPOSIA
2014
2 5 t h
A n n u a l
Cardiovascular
Interventions
October 21-24, 2014
Hilton La Jolla Torrey Pines
La Jolla, California
A stimulating and comprehensive program that features live case demonstrations,
lectures and panel discussions that will discuss the state-of-the-art concepts and
techniques of interventional cardiology.

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